CORAM ALTERNATE SITE SERVICES INC (NPI# 1861599896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861599896 |
| Entity Type | Organization |
| Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
3817 Constitution Dr Ste 300 El Paso TX 79922-1375 |
| Mailing Address |
Po Box 809160 Chicago IL 60680-9160 |
| Practice Telephone | 9158330140 |
| Practice Fax Number | 9155819366 |
| Mailing Telephone | 3036728631 |
| Mailing Fax Number | 3032980047 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | SANDY L CAMPA (SR CONSULTANT) |
| Authorized Official Telephone | 9097994174 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM ALTERNATE SITE SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 003656 | TX | Agencies |
| N | 251F00000X | Home Infusion | 003656 | TX | Agencies |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
003656 | TX | Ambulatory Health Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | TX | Suppliers | |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
16628 | TX | Suppliers |
| N | 333600000X | Pharmacy | 16628 | TX | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
16628 | TX | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
16628 | TX | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
16628 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 4595267 | 01 | |
| DEA | BC4488119 | 01 | |
| TX | RX LICENSE | 16628 | 01 |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578866737 | Coram Alternate Site Services Inc | Pharmacy | 3439 N 12th Ave, Ste A&b, Pensacola, FL 32503-4008 | 2010-12-09 |
| 1295038438 | Coram Alternate Site Services Inc | Home Infusion | 5955 Core Ave Ste 512, North Charleston, SC 29406-6085 | 2010-12-09 |
| 1184723884 | Coram Alternate Site Services Inc | Pharmacy | 10118 Huebner Rd, San Antonio, TX 78240-1319 | 2006-09-21 |
| 1134226178 | Coram Alternate Site Services Inc | Pharmacy | 10611 S Sam Houston Pkwy W, Suite 200, Houston, TX 77071-3111 | 2006-09-20 |
| 1740390202 | Coram Alternate Site Services Inc | Pharmacy | 1905-a Kramer Lane, Suite 500, Austin, TX 78758-6299 | 2006-08-30 |
| 1629184957 | Coram Alternate Site Services Inc | Pharmacy | 1680 Century Center Pkwy, Suite 12, Memphis, TN 38134-8827 | 2006-08-21 |
| 1497767966 | Coram Alternate Site Services Inc | Home Health | 30 Garfield St, Ste B, Asheville, NC 28803-7302 | 2006-08-13 |
| 1346250610 | Coram Alternate Site Services Inc | Home Health | 6565 Davis Industrial Pkwy, Suite Aa, Solon, OH 44139-3559 | 2006-08-09 |
| 1003826694 | Coram Alternate Site Services Inc | Pharmacy | 7358 Sw Durham Rd, Portland, OR 97224-7307 | 2006-08-08 |
| 1912917550 | Coram Alternate Site Services Inc | Home Health | 5924 Nw 2nd St Ste 100, Oklahoma City, OK 73127-6514 | 2006-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Coram Alternate Site Services Inc. | 1 Cvs Dr, Mc 1160, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
3817 CONSTITUTION DR STE 300 |
| City | EL PASO |
| State | TX |
| Zip Code | 79922-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220634 | Chad Condon Moltane | Counselor | 5048 Love Road, El Paso, TX 79922 | 2019-08-15 |
| 1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
| 1164895462 | Jana Lynn Mccallister | Nurse Practitioner | 3801c Constitution, Suite 100, El Paso, TX 79922 | 2015-11-09 |
| 1689072233 | Smile Center for Kids I Pllc | Clinic/Center | 1050 Sundland Park Drive, Suite 200 B, El Paso, TX 79922 | 2014-12-15 |
| 1487098307 | Griselda Murguia | Speech-Language Pathologist | 716 Wakefield Ct., El Paso, TX 79922 | 2013-04-22 |
| 1013112549 | Mentis Neuro El Paso, LLC | Residential Treatment Facility, Physical Disabilities | 4360 Doniphan Drive, El Paso, TX 79922 | 2007-06-15 |
| 1821135997 | Alfredo Cedillo | Surgery | 769 Woodland Ave, El Paso, TX 79922 | 2007-01-30 |
| 1952478232 | Luis A. Todd | Pediatrics | 4371 Boy Scout Ln, El Paso, TX 79922 | 2006-11-29 |
| 1023261856 | Jesus Fernando Escarzaga | Radiology Practitioner Assistant | 4930 Osborne, Suite H, El Paso, TX 79922 | 2008-10-24 |
| 1922588052 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Osborne Dr Ste 100, El Paso, TX 79922-1035 | 2018-08-17 |
| Find all providers in zip 79922 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173417 | Metroplex Pharmacy Solutions LLC | Pharmacy | 12700 Hillcrest Rd Ste 218, Dallas, TX 75230-2071 | 2020-04-20 |
| 1699319863 | Kare Home Infusion Pharmacy Pllc | Pharmacy | 4225 Gladys Ave Ste A, Beaumont, TX 77706-3644 | 2019-10-31 |
| 1497309660 | Pareek Inc | Pharmacy | 13988 Diplomat Dr Ste 100-b, Farmers Branch, TX 75234-8807 | 2019-07-26 |
| 1043878762 | Gaspy Infusion Services Inc | Pharmacy | 11104 W Airport Blvd Ste 223, Stafford, TX 77477-3035 | 2019-05-29 |
| 1952801128 | Renew Hydration LLC | Pharmacy | 2601 W Mockingbird Ln Ste 100, Dallas, TX 75235-5630 | 2018-02-14 |
| 1790294668 | Profusion, LLC | Pharmacy | 3200 Steck Ave Ste 330, Austin, TX 78757-8034 | 2017-09-23 |
| 1871974485 | Innoveix Pharmaceuticals Inc. | Pharmacy | 3790 Arapaho Rd, Addison, TX 75001-4311 | 2015-06-10 |
| 1881081818 | Home Infusion Services, LLC | Pharmacy | 2790 Lake Vista Dr., Suite 800, Lewisville, TX 75067 | 2015-04-16 |
| 1508254327 | American Specialty Pharmacy, Inc. | Pharmacy | 2414 Babcock Rd Ste 106, San Antonio, TX 78229-4870 | 2014-12-31 |
| 1255731261 | Total Rx Care Inc | Pharmacy | 9101 Lakeview Pkwy Ste 500, Rowlett, TX 75088-4540 | 2014-08-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.